Burnout Preventions, Professionalism Heightening, and Enhancing Resiliency (BUPHER) (BUPHER)
14 november 2016 bijgewerkt door: michal roll
Values and Virtues in Medical Practice: Quasi-Experimental Intervention for Burnout Preventions, Professionalism Heightening, and Enhancing Resiliency (BUPHER) in a Hospital Surgical Division
Due to their difficult and stressful work surgeons are under continuous physical and mental stress exposing them to increased risk for burnout and lack of professionalism.
The present intervention focuses on providing time and a safe space to debrief and explore personal and group experiences and dilemmas, as well as acquire coping skills related to burnout, communication and professionalism.
Studie Overzicht
Toestand
Onbekend
Interventie / Behandeling
Studietype
Ingrijpend
Inschrijving (Verwacht)
1000
Fase
- Niet toepasbaar
Contacten en locaties
In dit gedeelte vindt u de contactgegevens van degenen die het onderzoek uitvoeren en informatie over waar dit onderzoek wordt uitgevoerd.
Deelname Criteria
Onderzoekers zoeken naar mensen die aan een bepaalde beschrijving voldoen, de zogenaamde geschiktheidscriteria. Enkele voorbeelden van deze criteria zijn iemands algemene gezondheidstoestand of eerdere behandelingen.
Geschiktheidscriteria
Leeftijden die in aanmerking komen voor studie
18 jaar en ouder (Volwassen, Oudere volwassene)
Accepteert gezonde vrijwilligers
Ja
Geslachten die in aanmerking komen voor studie
Allemaal
Beschrijving
Inclusion Criteria:
- All physicians (residents and experts) of the Surgical Division at Tel Aviv Sourasky Medical Center.
- All medical students studying at the Sackler Faculty of Medicine, Tel Aviv University, and attending a surgery round at the Surgical Division at Tel Aviv Sourasky Medical Center.
- Patients (and/or family members) in the Surgical Division at Tel Aviv Sourasky Medical Center following their surgery.
Exclusion Criteria:
- The research will not include children and/or judgment-impaired patients;
- population not met by inclusion criteria;
- non-Hebrew speaking patients;
- ventilated patients;
- patients in surgical intensive care;
- patients medically defined as suffering from clouding of conscious or delirium;
- subjects who decided to stop their participation in the study.
Studie plan
Dit gedeelte bevat details van het studieplan, inclusief hoe de studie is opgezet en wat de studie meet.
Hoe is de studie opgezet?
Ontwerpdetails
- Primair doel: Onderzoek naar gezondheidsdiensten
- Toewijzing: Gerandomiseerd
- Interventioneel model: Parallelle opdracht
- Masker: Geen (open label)
Wapens en interventies
Deelnemersgroep / Arm |
Interventie / Behandeling |
|---|---|
|
Experimenteel: Structured group intervention
Experimental: Structured group intervention a 'structured' intervention, leaning mostly on tools designed to prevent burnout and promote resilience, including predetermined exercises and topics as discussion goals in each meeting. Fidelity will be checked and monitored at the end of each meeting, when facilitators fill out a form that summarizes the content, topics and coping skills acquired in each session. |
Andere namen:
|
|
Experimenteel: Semi-Structured group intervention
Experimental: Semi-Structured group intervention a 'semi-structured' intervention, based on tools for developing an emotional discourse, building a supporting team and self reflection. The 'semi-structured' intervention offers predetermined contents that are discussed through the stories and needs presented by group members. Fidelity will be checked and monitored at the end of each meeting, when facilitators fill out a form that summarizes the content, topics and coping skills acquired in each session. |
Andere namen:
|
Wat meet het onderzoek?
Primaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
|---|---|---|
|
Professionalism Culture Scale
Tijdsspanne: Change (increase) from baseline to short and long term measurements (after one year, 3 years, respectively)
|
12 item scale developed by the American Board of Internal Medicine, by (DeLisa, Foye, Jain, Kirshblum, & Christodoulou, 2001
|
Change (increase) from baseline to short and long term measurements (after one year, 3 years, respectively)
|
|
Abbreviated Burnout Scale
Tijdsspanne: Change (decrease) from baseline to short and long term measurements (after one year, 3 years, respectively)
|
Nine item scale focused on 3 burnout factors (Iverson, Olekalns & Erwin, 1998)
|
Change (decrease) from baseline to short and long term measurements (after one year, 3 years, respectively)
|
Secundaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
|---|---|---|
|
Adapted Professionalism Mini-Evaluation Scale Exercise scale
Tijdsspanne: Change (increase) from baseline to short and long term measurements (after one year, 3 years, respectively)
|
originally included 24 items developed by Cruess, McIlroy, Cruess, Ginsburg, and Steinert (2006).
Translated and adapted by the research team, and now include 31 items.
|
Change (increase) from baseline to short and long term measurements (after one year, 3 years, respectively)
|
|
Cynicism in Medicine Questionnaire (CMQ)
Tijdsspanne: Change (decrease) from baseline to short and long term measurements (after one year, 3 years, respectively)
|
14 item questionnaire developed by Teserman, Morton, Loo, Worthle & Lamberton, 1996
|
Change (decrease) from baseline to short and long term measurements (after one year, 3 years, respectively)
|
|
Moral & Cognitive Courage Scale
Tijdsspanne: Change (increase) from baseline to short and long term measurements (after one year, 3 years, respectively)
|
A newly developed questionnaire focused on self efficacy to intervene when a physician acts immorally and actual experience with acting in such cases.
|
Change (increase) from baseline to short and long term measurements (after one year, 3 years, respectively)
|
|
Jefferson Health Professionals Empathy Scale
Tijdsspanne: Change (increase) from baseline to short and long term measurements (after one year, 3 years, respectively)
|
20 items questionnaire developed by Hojat, Mangione, Nasca, Cohen, Gonnella, Erdmann & Magee, 2001
|
Change (increase) from baseline to short and long term measurements (after one year, 3 years, respectively)
|
|
The Areas of Work life Scale (AWS)
Tijdsspanne: Change (increase in balance) from baseline to short and long term measurements (after one year, 3 years, respectively)
|
29 items questionnaire developed by Leiter & Maslach, 2004 to measure 6 factors related to work load, control, appreciation, community, fairness and values
|
Change (increase in balance) from baseline to short and long term measurements (after one year, 3 years, respectively)
|
|
Professionals Self Care Practices questionnaire
Tijdsspanne: Change (increase) from baseline to short and long term measurements (after one year, 3 years, respectively)
|
43 items comprised from two questionnaires focused on different aspects of self care (Teng, Yen & Fetzer & Shananfelt et al., 2005).
the combination of these two questionnaires was assessed by Karnieli-Miller & Michael.
|
Change (increase) from baseline to short and long term measurements (after one year, 3 years, respectively)
|
|
Life satisfaction questionnaire
Tijdsspanne: Change (increase) from baseline to short and long term measurements (after one year, 3 years, respectively)
|
3 item questionnaire focused on general life satisfaction.
|
Change (increase) from baseline to short and long term measurements (after one year, 3 years, respectively)
|
|
Perceived Stress Scale (PSS)
Tijdsspanne: Change (decrease) from baseline to short and long term measurements (after one year, 3 years, respectively)
|
10 item scale focused on perceived stress in the clinics (4 items validated in Ben-Zur & Michael) and 6 items developed by the research team to assess concern and fear from medical mistakes and hierarchy.
|
Change (decrease) from baseline to short and long term measurements (after one year, 3 years, respectively)
|
|
Work-Life Balance
Tijdsspanne: Change (increase) from baseline to short and long term measurements (after one year, 3 years, respectively)
|
6 item questionnaire developed by Greenhaus & Powell, 2006)
|
Change (increase) from baseline to short and long term measurements (after one year, 3 years, respectively)
|
|
Resilient Coping Questionnaire (RCQ)
Tijdsspanne: Change (increase) from baseline to short and long term measurements (after one year, 3 years, respectively)
|
24 items questionnaire developed by Wolmer, Hamiel & Laor (2105)
|
Change (increase) from baseline to short and long term measurements (after one year, 3 years, respectively)
|
|
Specific Life Satisfaction Questionnaire
Tijdsspanne: Change (increase) from baseline to short and long term measurements (after one year, 3 years, respectively)
|
12 items questionnaire developed by Karnieli-Miller & Michael to measure satisfaction with different life domains (e.g., relationships, financial etc).
|
Change (increase) from baseline to short and long term measurements (after one year, 3 years, respectively)
|
|
Brief Resilience Scale (BRS)
Tijdsspanne: Change (increase) from baseline to short and long term measurements (after one year, 3 years, respectively)
|
6 item questionnaire developed by Smith et al., 2008
|
Change (increase) from baseline to short and long term measurements (after one year, 3 years, respectively)
|
|
Patient Satisfaction questionnaire
Tijdsspanne: Change (increase) from baseline to short and long term measurements (after one year, 3 years, respectively)
|
23 items questionnaire focused on patient-physician communication skills and satisfaction from care.
|
Change (increase) from baseline to short and long term measurements (after one year, 3 years, respectively)
|
|
Physician Transcendence Scale (PTS)
Tijdsspanne: Baseline
|
A 16 items newly developed questionnaire focused on the physicians' transcendence.
Laor, Wolmer & Hamiel
|
Baseline
|
|
Demographic information questions
Tijdsspanne: Baseline
|
questions concerning gender, age, seniority, specialty, country of birth,
|
Baseline
|
|
Life Events Scale
Tijdsspanne: Baseline
|
Assessing life events the individual experienced, such as divorce, a death of a loved one, etc.
|
Baseline
|
Medewerkers en onderzoekers
Hier vindt u mensen en organisaties die betrokken zijn bij dit onderzoek.
Sponsor
Studie record data
Deze datums volgen de voortgang van het onderzoeksdossier en de samenvatting van de ingediende resultaten bij ClinicalTrials.gov. Studieverslagen en gerapporteerde resultaten worden beoordeeld door de National Library of Medicine (NLM) om er zeker van te zijn dat ze voldoen aan specifieke kwaliteitscontrolenormen voordat ze op de openbare website worden geplaatst.
Bestudeer belangrijke data
Studie start
1 november 2016
Primaire voltooiing (Verwacht)
1 september 2019
Studie voltooiing (Verwacht)
1 september 2020
Studieregistratiedata
Eerst ingediend
4 september 2016
Eerst ingediend dat voldeed aan de QC-criteria
14 november 2016
Eerst geplaatst (Schatting)
15 november 2016
Updates van studierecords
Laatste update geplaatst (Schatting)
15 november 2016
Laatste update ingediend die voldeed aan QC-criteria
14 november 2016
Laatst geverifieerd
1 november 2016
Meer informatie
Termen gerelateerd aan deze studie
Aanvullende relevante MeSH-voorwaarden
Andere studie-ID-nummers
- TASMC-16-GL-0426-CTIL
Plan Individuele Deelnemersgegevens (IPD)
Bent u van plan om gegevens van individuele deelnemers (IPD) te delen?
JA
Beschrijving IPD-plan
The participants data will be shared with the research team from the Department of Medical Education, Sackler Faculty of Medicine, Tel Aviv University and Cohen-Harris Resilience Center
Deze informatie is zonder wijzigingen rechtstreeks van de website clinicaltrials.gov gehaald. Als u verzoeken heeft om uw onderzoeksgegevens te wijzigen, te verwijderen of bij te werken, neem dan contact op met register@clinicaltrials.gov. Zodra er een wijziging wordt doorgevoerd op clinicaltrials.gov, wordt deze ook automatisch bijgewerkt op onze website .